| NPI | 1033609581 |
|---|---|
| Doing Business As | RECONNECT THERAPY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M WRIGHT Managing Member 662-680-3148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2021-02-03 |